Permit FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
_11111
Transmittal Letter
i i„,t i. i; 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Tom Hochstatter DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: Pam Deegan
APR 2 2 202$
COMPANY: Western Construction Services
CITY OF TIGARD
PHONE: 360.953.8517 BUILDING DIVISIO 93Y:Li -
EMAIL: pam@westemconstruction.com
RE: 11565 SW Pacific Highway BUP2021-00076
(Site Address) (Permit Number)
Fred Meyer Grocery Pick Up Expansion
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 ea Revisions: Add small area of drop ceiling
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: The Health Department is requiring that we add a small area of drop ceiling. Sheets A1.3& E1.1
reflect this revision. Ceiling tile specs are included on Sheet A1.3. Per Oregon State Health Department,
washable ceiling tiles are not required.
FOR OFFICE USE ONLY
Route to Permit T chnician: Date: y -a g - a.) Initials:
Fees Due. Y ❑ No Fee Description: . Amount Due: , /
O.S Plc» r� t c‘...J $ �-J S— y
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done im_______
Applicant Notified: U��Date: g-(1/((4 Initials:
G
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00076
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/13/2021
TIGARD g Parcel: 1S136DB00201
Jurisdiction: Tigard
Site address: 11565 SW PACIFIC HWY
Project: Fred Meyer Subdivision: None Lot: None
Project Description: Expand the(E)grocery pick up area inside the F.M.store.(E)walk-in cooler expanded&reach-in freezer
relocated. Emp area only. New floral area built beside C.S desk.(2)add'I parking stalls will be converted to(2)
grocery pick-up spaces.
Contractor: CURT FAUS CORP Owner: FRED MEYER STORES INC
5775 JEAN RD STE 105 STORE#375
LAKE OSWEGO, OF 97035 1014 VINE ST
PROPERTY TAX 7TH FLOOR
CINCINNATI,OH 45202
PHONE: 503-699-1103 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 05/06/2021 $917.70
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 05/06/2021 $110.12
Dwelling Units: 0 Plan Review 03/30/2021 $596.51
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 05/06/2021 $257.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/06/2021 $367.08
Value: $75,000 Info Process/Archiving-Lg$2.00(over 05/06/2021 $26.00
11x17)
Info Process/Archiving-Sm$0.50(up to 05/06/2021 $17.50
Floor Areas: 11x17)
Tigard CET-Non-Residential-Admin 05/06/2021 $30.00
Total Area: 0 Tigard CET-Non-Residential-AH 05/06/2021 $720.00
Accessory Struct: 0 Additional Plan Review 05/06/2021 $45.00
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,086.91
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090, You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Roily VawDe,We Permittee Signature:
e O w tlpplt;catwn
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application - W :/--)
Commercial RECEIVE , FOR OFFICE USE ONLY J
City of Tigard Receivede/By: ' a ',."I Permit No. V Qu'�(1 j+(o
IN • 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 5 ?OZ PlDan Revie19 3Lt.IGI
Phone: 503-718-2439 Fax: 503-598-1960r E A Date/By: l —p1/ Related Permit:
TIGARD Inspection Line: 503-639-4175 CITY OF TIGARD Date eadyBy: !/ 1 . ads Ef See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION N ed/Method: i V 1 / Supplemental Information
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
IN Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
Number of bedrooms:
0 Accessory building ElMulti-family
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11565 SW Pacific Highway New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project namefred Meyer Grocery Pick Up Expansion Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
tzt Expand the(E)Grocery Pick Up area inside the Fred Meyer Store.OnLine Grocery orders Valuation: $ 75,000
rei.V&piuueaaed in thin cues.(E)walk-in wulet eANanJed&teaub-in lieeceta teluc.aled.Culp Area of work
only area. New Floral storage area built beside C.S.desk.2 Addl parking stalls will be converted Existing building area:1 735 square feet
to 2 Grocery Pick Up spaces,bringing total Pick Up spaces to 10. New building area: 1,735 No chngesquare feet
0 PROPERTY OWNER ® TENANT Number of stories: 1
Name: Fred Meyer- Karena Zevely Type of construction: V-B
Address: 3800 SE 22nd Ave. Occupancy groups:
City/State/ZIP: Portland,OR 97219 Existing: M
Phone:(503 )797.3511 Fax:( ) M(No Change)
New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Western Construction Services (Please refer to fee schedule)
Pam DeeganStructural plan review fee(or deposit): 594-•B/
Contact name:
Address: 2300 E.3rd Loop,Ste. 110 FLS plan review fee(if applicable):
City/State/ZIP: Vancouver,WA 98661 Total fees due upon application:
Amount received:
Phone:(360 ) 953.8517 Fax: :( 360 ) 694.7818
E-mail: Pam@westernconstruction.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: too( ,.1,C\- ca.,...)5 co.,%). Submit two(2)sets of roof plan with connection details
�^ and fire department access,along with the 2010 Oregon
Address: S1 S JLAIA\i ..) Lr S tA.-.e_ c Solar Installation Specialty Code checklist.
l City/State/ZIP: �,q�.t, O Sw<*3,e, O' . \,O 3 S Permit fee(includes plan review $180.00
J and administrative fees):
Phone:(ceb )(,C I V,03 Fax:( ) State surcharge(12%ofpermit fee): $21.60
CCB Lie.: `1-i,6V1 1
I otal fee due upon application: $201.60
Authorized signature: C j?Q This permit application expires if a permit is not obtained
p �i within 180 days after it has been accepted as complete.
a
Print name: Pamela A.Deegan Date: 03.24.21 * Fee methodology set by Tri-County Building Industry
--- Service Board.
I.\Rnildino\Pennitc1RIM ('(1M PerrnitAnn rine Rev 04/2I/2014 440-46I-1T/I1/0?/COM/WFRI
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
i 1 C
l�, D Building Permit Review — Commercial - No Land Use
Building Permit #:
Site Address: 11565 SW Pacific Hwy Suite/Bldg#:
Project Name: Fred Meyer
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Interior remodel for grocery pick-up area and painting designated pick-up parking spaces
Existing Business Activity: Sales-oriented retail
Proposed Business Activity: Sales-oriented retail
• verify site address/suite#exists and active in permit stem.
0 River Terrace Neighborhood: ❑ Yes LI No
O Zoning: C-G
O Permitted Use: L I Yes U No U Spec Space
ElConfirm no land use required.
❑s Business License:
Exists: ❑r Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date: 3/26/21
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 0,3/ZJ5/l0Z/
Site Plans: # 3
Building Plans: #n 3
Building Permit#: a-Enter buildingermit# above.Workflow Routing: Planning li Permit Coordinator a"Building
Workflow Sign-off: 2-Sign-off for Planning(include notes from planning review)
Route Application Documents: Q'Building: original permit application, site plans, building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 0.00/21
1:1Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to A c.licant:
Revision Notice 2: Date Sent to ' pplicant:
Revision Notice 3: Date Sent t% Applicant:
❑ SDC Fees Entered: Wash Co rans Dev Tax: ❑ Yes ❑ N/A
Tigard rans SDC: ❑ Yes ❑ N/A
Park SDC: ❑ Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Coors ator: Date:
I:\Building\Forms\BldgPerm itRvw_COM_NoLandUse_1 11819.docx